Presentation is loading. Please wait.

Presentation is loading. Please wait.

Perspectives on Inter-Hospital AMI Care: Timing & Documentation at the New Brunswick Heart Centre Cleo Cyr RN, BN, MHS Saint John, NB.

Published byShana Powers Modified over 8 years ago

Similar presentations

Presentation on theme: "Perspectives on Inter-Hospital AMI Care: Timing & Documentation at the New Brunswick Heart Centre Cleo Cyr RN, BN, MHS Saint John, NB."— Presentation transcript:

1 Perspectives on Inter-Hospital AMI Care: Timing & Documentation at the New Brunswick Heart Centre Cleo Cyr RN, BN, MHS Saint John, NB

2 Who We Are: Provincial referral centre for tertiary cardiac care in New Brunswick and surrounding areas. Services include cardiology, interventional cardiology, cardiac surgery, heart function clinic and cardiac rehab Population served approx.750,000 4700 – 5000 patients per year

3 ACS Multi-department Tool Joined SHN Sept 2005/Retrospective Analysis Team developed multi-department tool AMI Tool AMI Tool Issues included discrepancies in arrival times, ECG times, time to physician assessment, time to cardiology consult.

4 Safer Health Care Now! AMI Indicators Safer Health Care Now! Goals SJRH Retrospective Baseline Results 10 month period from Sept 2004 – June 2005 (n=95) Full Implementation Results STEMI & NTEMI March-October 2006 (n=128) Full Implementation Results November 2006 to February 2007 STEMI Pts only n =28 ASA at Arrival90%100%96%100% ASA at Discharge90%100% Beta Blocker at Discharge90%97.6%96.5%100% Thrombolytic Agent within 30 minutes85%*72.4%93.6%84% PCI within 90 minutes90%*77.8%100% ACE/ARB on Discharge (EF <40%) 85%86.9%100% Adult Cigarette Smoking Cessation Advice100%*78.7%92%100% Lipid Lowering Med on dischargeNA Until April 2007 86.5%97.5%100% Perfect Care95%*74.5%92%90% Other data collected Cardiac Rehab Referrals**NA60%80%81% Clopidogrel on discharge when indicated**NANot Assessed100%97% *Components of care not at Safer Health Care Now! goals on Retrospective Baseline Analysis. ** Not applicable

5 Tests of Change Multiple cycles with AMI Tool development and implementation Multi-disciplinary Staff Buy – in

6 Safer Health Care Now! Improving AMI Care SJRH STEMI: Time to 1st ECG in Minutes March 2006 – February 2007 (Avg 7.4 min n=90)

7 Time to Charted Physician Assessment (ED) in minutes for STEMI Pts. March 2006 – February 2007 (Avg 8.7 min n=90)

8 Change Ideas Spread Long Term goal for inclusion of data in daily charting D/C meds D/C ChecklistKnow Your Targets D/C medsD/C ChecklistKnow Your Targets More info NBHC Newsbeat NBHC Newsbeat

9 Questions? Thank you! Contact Information: Name: Cleo Cyr Address: PO Box 2100 NB Heart Centre. Saint John, NB E2L 4L2 Phone/email: 506-648-6201 cyrcl@reg2.health.nb.cacyrcl@reg2.health.nb.ca

Download ppt "Perspectives on Inter-Hospital AMI Care: Timing & Documentation at the New Brunswick Heart Centre Cleo Cyr RN, BN, MHS Saint John, NB."

Similar presentations

New Atrial Fibrillation/Flutter Pathway and GRASP Tool

New Atrial Fibrillation/Flutter Pathway and GRASP Tool
Coming Full Circle: AMI & Med Rec Across the Continuum Western Node Collaborative Kelowna General Hospital AMI IMPROVEMENT TEAM.

Coming Full Circle: AMI & Med Rec Across the Continuum Western Node Collaborative Kelowna General Hospital AMI IMPROVEMENT TEAM.
Measurement for MedRec – Submitting Data June, 2007 Virginia Flintoft, RN MSc Project Manager, SHN! Central Measurement Team.

Measurement for MedRec – Submitting Data June, 2007 Virginia Flintoft, RN MSc Project Manager, SHN! Central Measurement Team.
Successful Discharge Care Amanda Thompson, RN BN Safer Healthcare Now! Coordinator.

Successful Discharge Care Amanda Thompson, RN BN Safer Healthcare Now! Coordinator.
AMI Discharge Care Improved: At Regional Health Authority Four Edmundston, N.-B. Carole Ruest, RN.

AMI Discharge Care Improved: At Regional Health Authority Four Edmundston, N.-B. Carole Ruest, RN.
Improving Client Retention in Primary Care QI Project Review Title I Case Management HIV Quality Learning Network June 28, 2007.

Improving Client Retention in Primary Care QI Project Review Title I Case Management HIV Quality Learning Network June 28, 2007.
1 Cardiac Intensive Care Unit Operationalizing the Attending Nurse Role Presented by Colleen Snydeman, RN, MSN February 15, 2012.

1 Cardiac Intensive Care Unit Operationalizing the Attending Nurse Role Presented by Colleen Snydeman, RN, MSN February 15, 2012.
COMMUNITY PARTNERS TRANSITIONS IN CARE UPDATE 2014 Q1.

COMMUNITY PARTNERS TRANSITIONS IN CARE UPDATE 2014 Q1.
Acute Myocardial Infarction (AMI) JCAHO Core Measure Project Loyola University Medical Center Team Members: K. McLean MD, M. Morrow MSN, J. Cochran BSN,

Acute Myocardial Infarction (AMI) JCAHO Core Measure Project Loyola University Medical Center Team Members: K. McLean MD, M. Morrow MSN, J. Cochran BSN,
Coming Full Circle: AMI and Med Rec Across the Continuum. Western Node Collaborative Brandon Regional Health Authority Home Care Medication Reconciliation.

Coming Full Circle: AMI and Med Rec Across the Continuum. Western Node Collaborative Brandon Regional Health Authority Home Care Medication Reconciliation.
Developing a system of care Robert D. Reid University of Ottawa Heart Institute

Developing a system of care Robert D. Reid University of Ottawa Heart Institute
An Immediate Nursing Feedback Program for Primary PCI for ST-segment Elevation Myocardial Infarction Karen Mckenny RN, Theresa Fortner RN, Cheryl McNeil.

An Immediate Nursing Feedback Program for Primary PCI for ST-segment Elevation Myocardial Infarction Karen Mckenny RN, Theresa Fortner RN, Cheryl McNeil.
Medication Reconciliation : MSNU. Origins of Medication Reconciliation as a Patient Safety strategy The Institute for Healthcare Improvement (IHI) introduced.

Medication Reconciliation : MSNU. Origins of Medication Reconciliation as a Patient Safety strategy The Institute for Healthcare Improvement (IHI) introduced.
Improved Care for Acute Myocardial Infarction Linking Referral and Receiving Centres – How can We Communicate Better? Dr. James McMeekin AMI Faculty Cardiologist,

Improved Care for Acute Myocardial Infarction Linking Referral and Receiving Centres – How can We Communicate Better? Dr. James McMeekin AMI Faculty Cardiologist,
Core Measures Evidence-Based Performance Measurement Lynne Hall, RN, BSN Green Belt Six Sigma Updated: 06/16/2011.

Core Measures Evidence-Based Performance Measurement Lynne Hall, RN, BSN Green Belt Six Sigma Updated: 06/16/2011.
Congestive Heart Failure Quality Initiatives. SRHS History of CHF Focus Team early 90’s, developed Care Map, adopted education materials and guidelines.

Congestive Heart Failure Quality Initiatives. SRHS History of CHF Focus Team early 90’s, developed Care Map, adopted education materials and guidelines.
CRUSADE: A National Quality Improvement Initiative CRUSADE: A National Quality Improvement Initiative Can Rapid Risk Stratification of Unstable Angina.

CRUSADE: A National Quality Improvement Initiative CRUSADE: A National Quality Improvement Initiative Can Rapid Risk Stratification of Unstable Angina.
Measurement for SHN! – Submitting Data January 31, 2006 Virginia Flintoft, RN MSc Project Manager, SHN! Central Measurement Team.

Measurement for SHN! – Submitting Data January 31, 2006 Virginia Flintoft, RN MSc Project Manager, SHN! Central Measurement Team.
St. Rose Dominican Hospital “Cardiac Care Team” UPDATE September 2003.

St. Rose Dominican Hospital “Cardiac Care Team” UPDATE September 2003.
Coming Full Circle: AMI & Med Rec Across the Continuum Western Node Collaborative Western Node Collaborative Brandon Regional Health Authority Medication.

Coming Full Circle: AMI & Med Rec Across the Continuum Western Node Collaborative Western Node Collaborative Brandon Regional Health Authority Medication.

Similar presentations

Ads by Google